Displaying 201401-201410 of 1611142 results.
ID:
201401
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
1
ID:
201402
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201403
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201404
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
636141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201405
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
637216
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201406
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
312941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201407
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
312938
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201408
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
308194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201409
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
308182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201410
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
283406
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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